13594 P103 Park Villa Circle
Building Permit Confirmed Z
Not Required
CITY OF SAN JOSE ��� BUILDING DEPARTMENT
APPLICATION FOR ELECTRICAL PERMIT
Date--------------------------------------273 19;„Z-Permit No.--------J .Sl9:.y--------------.-----
The undersigned hereby makes.,application to th Electrical Inspector of the City of San Jose
fora permit to ins}all elgesri�I�I iur'es end%o tiny asliApa an the reverse side.
/Q/✓/�� f I� /ni glial'( .�
Exemption from raqu u¢men} for Sfai¢�hf.California for Contractor's License is hereby claimed
by undersigned: 9 as owner ❑ statement filed 0,
Undersigned aft¢sfs that his State of California Contractor's License # 'v
is in full force and effect and properly aufhorims f'hfsropplicaiq
San Jose City Business License # o/ �Q '
I certify that in the performance of the work for which this permit is issued 'I shall not employ
any person in any manner so as 4o vi I € the workmen's 6lnpensafion laws f California.
OWNER ��-
ADDRESS PIKS' L/" .e/ 1��
USE OF BUILDING
FIRM HTT T. ELECTRICALSIGNED �'�
280-10' CONTRACTORS-SUNNYVALE 9
8103 Park Villa Circle Hill
ITEMIZE THE FOLLOWING 0/&. 00 ew Old
Outlets �panels, Cabinets __�Size .Service Conduit
Switches ZSwitchboards Size Service Wires
Receptacles /"/�!�I' _Panelboards Size Service Switch %�!J
Fixtures T Festoon Lamps Size Sub Feed Conduit
Mercury Lamps Dryers � KW Size Sub Feed Wires�'�—z
Ranges __� KW Heaters KWNumber of Circuits
Signs _Transformers Motors Number of Meters
HP
Kase Ampere Loads Lighting Power
Miscellaneous /t"
Rough Inspection By
Final Inspection ���� �e/' gy Pd?
Remarks:/-i//.i C �rs�.L�-C^r•s-tai.•a s�.�KCG x."1-r• �i'-� � i
/Q� %�•' 2^ hY�'Ct:i r,r/�c7'c�J.+/.�.,..Ae- p��„•.nc„ —/�« 7 (i7 2 Q
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